β-Carboline-α-aminophosphonate Derivative: A Promising Antitumor Agent for Breast Cancer Treatment

Breast cancer is the most common type of cancer and the leading cause of cancer mortality among women worldwide. Considering the limitations of the current treatments available, we analyzed the in vitro cytotoxic potential of ((4-Fluoro-phenyl)-{2-[(1-phenyl-9H-β-carboline-3-carbonyl)-amino]-ethylamino}-methyl)-phosphonic acid dibutyl ester (BCP-1) in breast cancer cells (MCF-7 and MDA-MB-231) and in a non-tumor breast cell line (MCF-10A). BCP-1 has an α-aminophosphonate unit linked to the β-carboline nucleus, and the literature indicates that compounds of these classes have high biological potential. In the present study, the mechanism of action of BCP-1 was investigated through methods of spectrofluorimetry, flow cytometry, and protein expression analysis. It was found that BCP-1 inhibited the proliferation of both cancer cell lines. Furthermore, it induced oxidative stress and cell cycle arrest in G2/M. Upregulation of apoptosis-related proteins such as Bax, cytochrome C, and caspases, as well as a decrease in the anti-apoptotic protein Bcl-2, indicated potential induction of apoptosis in the MDA-MB-231 cells. While in MCF-7 cells, BCP-1 activated the autophagic death pathway, which was demonstrated by an increase in autophagic vacuoles and acidic organelles, in addition to increased expression of LC3I/LC3II and reduced SQSTM1/p62 expression. Further, BCP-1 demonstrated antimetastatic potential by reducing MMP-9 expression and cell migration in both breast cancer cell lines. In conclusion, BCP-1 is a promising candidate for breast cancer chemotherapy.


Introduction
Cancer is one of the main threats to human life and health [1], and of all types of cancer, breast cancer is one of the most prevalent malignant neoplasms worldwide, being recognized as the leading cause of mortality among women [2][3][4]. Current treatments include surgery, radiation therapy, hormonal therapy, immunotherapy, and targeted therapy; however, these treatments are not effective due to the frequent occurrence of adverse effects, systemic toxicity, chemoresistance, and tumor recurrence [3].
Therefore, there is an urgent need to provide new therapeutic approaches to achieve more effective, potent, and less toxic treatments [5].
Several biological properties, including the ability to inhibit the growth of tumor cells in vitro and in vivo have been attributed to various natural and/or synthetic products [6]. Compounds derived from β-carboline and α-aminophosphonate classes have attracted great attention from researchers due to the diverse therapeutic properties and biological potential widely reported [7,8].
The β-carbolines are alkaloids containing a tricyclic pyrido [3,4-b] indole ring in their structure. Compounds of this class have already been described in the literature as having antibacterial, antifungal, anticancer, an the α-aminophosphonate group in the increase their antitumor activity again intracellular reactive oxygen species (R related to cell death, in addition to gen Considering all the challenges in biological properties already reported study a compound containing both βdesigned giving rise to the unprecede Phenyl-9H-β-carboline-3-carbonyl)-am ester ( Figure 1). The objective of this work was to the proliferation of breast cancer cells effect on different cell death pathway involved in the death of these cell lin apoptotic, necrotic, and autophagic The objective of this work was to develop a compound capable of interfering with the proliferation of breast cancer cells (MCF-7 and MDA-MB-231) and to investigate its effect on different cell death pathways to determine the possible mechanism of action involved in the death of these cell lines. The study of intracellular proteins that act in apoptotic, necrotic, and autophagic signaling pathways, among other pathways, is important in the search for new compounds against cancer [19]. The signaling pathways related to apoptosis act in the inhibition of Bcl-2 proteins which makes the cell membrane permeable, leading to the activation of pro-apoptotic proteins. It generates the release of cytochrome C and the activation of the apoptotic cascade mechanism through caspases [20,21]. Furthermore, in preventing the proliferation of cancer cells, the autophagic signaling pathway can act through the activation of LC3I/LC3II proteins and inhibition of p62/SQSTM1 proteins [13,21]. Our results provided the first evidence that BCP-1 contributes to breast cancer suppression in vitro, demonstrated by its action on the different cell death pathways depending on the cell line analyzed.

Evaluation of the Cytotoxic Activity of BCP-1 in Breast Cancer and Healthy Breast Cell Lines
The effect of the compound BCP-1 was evaluated against two breast cancer cell lines, MCF-7 and MDA-MB-231, as well as a non-tumor breast cell line, MCF-10A, and the IC 50 values obtained after 24 and 48 h of treatment are presented in Table 1. BCP-1 treatment had both a time-and dose-dependent effect on the inhibition of breast cancer cell proliferation. The IC 50 values in the MCF-10A cells were significantly higher than those found for the tumor cells, and thus, the selectivity index (SI) shows that the cytotoxic effects of BCP-1 were selective for MCF-7 and MDA-MB-231 cells in relation to non-tumor MCF-10A cells. The degree of selectivity of compounds can be expressed by their SI value, as suggested by Badisa [22] in which the degree of toxicity of the compound for the cancer cell line is compared to that in the normal cell line. SI is calculated as follows: SI = IC 50 normal cells/IC 50 cancer cells High SI values (>2) indicate selective toxicity towards the cancer cells, while an SI value of <2 shows general toxicity, that is to say, it causes cytotoxicity in both tumor and normal cells [22][23][24].

Morphological Changes Induced by BCP-1 in Breast Cancer Cells
The morphological changes in the breast cancer cells following BCP-1 treatment were characterized by SEM. Untreated MCF-7 cells (NC) had intact membranes with microvilli ( Figure 2A (Table 1), both cell lines showed morphological changes. At both concentrations, MCF-7 cells showed a slight decrease in volume, with reduction of cell-cell junctions, but apparently the cell membrane remained intact (Figure 2A(b,c)). Meanwhile, BCP-1-treated MDA-MB-231 cells showed rounding, reduced microvilli, reduced volume, and cell membrane damage, suggesting cell death ( Figure 2B(e,f)).

Effects of BCP-1 on ROS Production and GSH Levels in Breast Cancer Cells
Both breast cancer cell lines showed a significant increase in ROS production after BCP-1 treatment. For MCF-7 cells, ROS production was increased by 368%, 793%, and 800% after treatment with the IC50 and 2 × IC50 of BCP-1 and the PC (H2O2), respectively, relative to the level of the NC ( Figure 3A). Similarly, MDA-MB-231 cells exhibited increases of approximately 180%, 530%, and 580% after treatment with BCP-1 (IC50 and 2 × IC50) and the PC, respectively, relative to the NC ( Figure 3B). Images obtained by fluorescence microscopy of the H2DCFDA marker corroborated the results obtained by the spectrofluorometric analysis, as it is possible to observe greater intensity of green fluorescence for both cell lines following BCP-1 treatment (Figure 3(A1,B1)).
Considering the results on ROS production, the antioxidant defense system was also analyzed by assessing the GSH levels. BCP-1 treatment of the two breast cancer cell lines suppressed the antioxidant defense system, as evidenced by the reduced levels of GSH compared to the NC. For MCF-7 cells treated with the IC50 and 2 × IC50 of BCP-1 and the PC, the levels were reduced by approximately 48%, 70%, and 56%, respectively, relative to the NC ( Figure 3C), while for MDA-MB-231 cells, the reductions were by 24%, 72%, and 32%, respectively ( Figure 3D).

Effects of BCP-1 on ROS Production and GSH Levels in Breast Cancer Cells
Both breast cancer cell lines showed a significant increase in ROS production after BCP-1 treatment. For MCF-7 cells, ROS production was increased by 368%, 793%, and 800% after treatment with the IC 50 and 2 × IC 50 of BCP-1 and the PC (H 2 O 2 ), respectively, relative to the level of the NC ( Figure 3A). Similarly, MDA-MB-231 cells exhibited increases of approximately 180%, 530%, and 580% after treatment with BCP-1 (IC 50 and 2 × IC 50 ) and the PC, respectively, relative to the NC ( Figure 3B). Images obtained by fluorescence microscopy of the H 2 DCFDA marker corroborated the results obtained by the spectrofluorometric analysis, as it is possible to observe greater intensity of green fluorescence for both cell lines following BCP-1 treatment (Figure 3(A1,B1)).
Considering the results on ROS production, the antioxidant defense system was also analyzed by assessing the GSH levels. BCP-1 treatment of the two breast cancer cell lines suppressed the antioxidant defense system, as evidenced by the reduced levels of GSH compared to the NC. For MCF-7 cells treated with the IC 50 and 2 × IC 50 of BCP-1 and the PC, the levels were reduced by approximately 48%, 70%, and 56%, respectively, relative to the NC ( Figure 3C), while for MDA-MB-231 cells, the reductions were by 24%, 72%, and 32%, respectively ( Figure 3D).  Fluorescence intensity was obtained by reading on a spectrofluorometer. Data are expressed as the mean ± SD of three independent experiments that were performed in triplicate. # p < 0.05, compared to the negative control (NC); α p < 0.05, between the IC50 and 2 × IC50 (one-way ANOVA followed by Tukey post-test). Scale bar: 50 µm. fluorescence images captured by microscopy; (C,D) GSH levels determined in the cell lysates. Fluorescence intensity was obtained by reading on a spectrofluorometer. Data are expressed as the mean ± SD of three independent experiments that were performed in triplicate. # p < 0.05, compared to the negative control (NC); α p < 0.05, between the IC 50 and 2 × IC 50 (one-way ANOVA followed by Tukey post-test). Scale bar: 50 µm.

Effects of BCP-1 on ∆Ψm and Intracellular ATP Levels in Breast Cancer Cells
BCP-1 treatment of the two breast cancer cell lines demonstrated a significant dosedependent reduction in ∆Ψm. For MCF-7 cells treated with the IC 50 , 2 × IC 50 of BCP-1, and the PC (CCCP), the ∆Ψm was reduced by approximately 51%, 69%, and 33%, respectively, relative to the NC ( Figure 4A), while for MDA-MB-231 cells, the reductions were by 58%, 66%, and 24%, respectively, relative to the NC ( Figure 4B). BCP-1 treatment of the two breast cancer cell lines demonstrated a significant dosedependent reduction in ΔΨm. For MCF-7 cells treated with the IC50, 2 × IC50 of BCP-1, and the PC (CCCP), the ΔΨm was reduced by approximately 51%, 69%, and 33%, respectively, relative to the NC ( Figure 4A), while for MDA-MB-231 cells, the reductions were by 58%, 66%, and 24%, respectively, relative to the NC ( Figure 4B).
In terms of intracellular ATP levels, BCP-1 treatment of the two breast cancer cell lines resulted in significant suppression of intracellular ATP production. Interestingly, this effect was more expressive in MDA-MB-231 cells. The ATP levels were reduced by approximately 34%, 43%, and 11%, in relation to the NC, for the MCF-7 cells treated with the IC50, 2 × IC50 of BCP-1, and the PC (KCN) ( Figure 4C). For MDA-MB-231 cells, on the other hand, the ATP levels decreased by 38%, 62%, and 26%, respectively, in relation to the NC ( Figure 4D). Data are expressed as the mean ± SD of three independent experiments that were performed in triplicate. # p < 0.05, compared to the negative control (NC); α p < 0.05, between the IC50 and 2 × IC50 (one-way ANOVA followed by Tukey post-test).

Effect of BCP-1 on Lipid Peroxidation and Membrane Integrity in Breast Cancer Cells
MCF-7 cells did not show any changes in lipid peroxidation after treatment with both BCP-1 concentrations used compared to the NC, while the PC (H2O2) caused a 400% increase ( Figure 5A). Further, there were no changes in the membrane integrity of MCF-7 cells after treatment with the IC50 and 2 × IC50 of BCP-1, as there was no significant difference in the PI fluorescence intensity. The PC (digitonin), however, caused a 167% increase in PI fluorescence intensity compared to the NC ( Figure 5C). Data are expressed as the mean ± SD of three independent experiments that were performed in triplicate. # p < 0.05, compared to the negative control (NC); α p < 0.05, between the IC 50 and 2 × IC 50 (one-way ANOVA followed by Tukey post-test).
In terms of intracellular ATP levels, BCP-1 treatment of the two breast cancer cell lines resulted in significant suppression of intracellular ATP production. Interestingly, this effect was more expressive in MDA-MB-231 cells. The ATP levels were reduced by approximately 34%, 43%, and 11%, in relation to the NC, for the MCF-7 cells treated with the IC 50 , 2 × IC 50 of BCP-1, and the PC (KCN) ( Figure 4C). For MDA-MB-231 cells, on the other hand, the ATP levels decreased by 38%, 62%, and 26%, respectively, in relation to the NC ( Figure 4D).  Figure 5A). Further, there were no changes in the membrane integrity of MCF-7 cells after treatment with the IC 50 and 2 × IC 50 of BCP-1, as there was no significant difference in the PI fluorescence intensity. The PC (digitonin), however, caused a 167% increase in PI fluorescence intensity compared to the NC ( Figure 5C).
lecules 2023, 28, x FOR PEER REVIEW 7 o In contrast, MDA-MB-231 cells exhibited a significant increase in lipid peroxidati by 800%, 1100%, and 380% after treatment with the IC50, 2 × IC50 of BCP-1, and the P respectively, when compared to the NC ( Figure 5B). These cells further exhibited chan in cell membrane integrity, as there was an increase in PI fluorescence intensity approximately 105%, 161%, and 95% after treatment with the IC50, 2 × IC50 of BCP-1, a the PC, respectively, when compared to the NC ( Figure 5D). Figure 5. Evaluation of lipid peroxidation and membrane integrity in breast cancer c following BCP-1 treatment. Cells were treated with the IC50 and 2 × IC50 (µM) of BCP-1 48 h. Lipid peroxidation (A,B) H2O2 (200 µM) and membrane integrity (C,D) digitonin ( µM) were used as the positive controls (PC). Fluorescence intensity of (A,B) DPPP a (C,D) PI were determined in a microplate reader. Data are expressed as the mean ± SD three independent experiments that were performed in triplicate. # p < 0.05, compared the negative control (NC); α p < 0.05, between the IC50 and 2 × IC50 (one-way ANO followed by Tukey post-test).

Effect of BCP-1 on the Cell Cycle Progression of Breast Cancer Cells
The different phases of the cell cycle of the breast cancer cells were quantified by fl cytometric analysis of PI-stained cells, which showed that treatment of both cell li resulted in a significant accumulation of cells in the G2/M phase ( Figure 6A,B). In the N approximately 68% of the MCF-7 cells were in G0/G1 phase, 11% were in S phase, a 21% were in G2/M phase ( Figure 6A(a,d)). After BCP-1 treatment with the IC50 and IC50, there was a reduction of 35% and 44% of cells in G0/G1, a decrease of 6% and 8% cells in S phase, and an expressive increase in the percentage of cells in G2/M phase 41% and 50%, respectively, in relation to the NC ( Figure 6A(b-d)).
For the NC of MDA-MB-231 cells, 42% of cells were in G0/G1 phase, 15% were i phase, and 41% were in G2/M phase ( Figure 6B(e,h)). However, when cells were trea with the IC50 and 2 × IC50 of BCP-1, there was a reduction by 14% and 20% in the percenta In contrast, MDA-MB-231 cells exhibited a significant increase in lipid peroxidation, by 800%, 1100%, and 380% after treatment with the IC 50 , 2 × IC 50 of BCP-1, and the PC, respectively, when compared to the NC ( Figure 5B). These cells further exhibited changes in cell membrane integrity, as there was an increase in PI fluorescence intensity of approximately 105%, 161%, and 95% after treatment with the IC 50 , 2 × IC 50 of BCP-1, and the PC, respectively, when compared to the NC ( Figure 5D).

Effect of BCP-1 on the Cell Cycle Progression of Breast Cancer Cells
The different phases of the cell cycle of the breast cancer cells were quantified by flow cytometric analysis of PI-stained cells, which showed that treatment of both cell lines resulted in a significant accumulation of cells in the G2/M phase ( Figure 6A,B). In the NC, approximately 68% of the MCF-7 cells were in G0/G1 phase, 11% were in S phase, and 21% were in G2/M phase ( Figure 6A(a,d)). After BCP-1 treatment with the IC 50 and 2 × IC 50 , there was a reduction of 35% and 44% of cells in G0/G1, a decrease of 6% and 8% of cells in S phase, and an expressive increase in the percentage of cells in G2/M phase of 41% and 50%, respectively, in relation to the NC ( Figure 6A(b-d)).

Effect of the BCP-1 on DNA Fragmentation in Breast Cancer Cells
The integrity of the DNA in the breast cancer cells was also evaluated. MC after the two BCP-1 treatments, did not show an increase in the fluorescence int the Hoechst 33342 dye, whereas the PC (CPT) showed a 44% increase in relation t For the NC of MDA-MB-231 cells, 42% of cells were in G0/G1 phase, 15% were in S phase, and 41% were in G2/M phase ( Figure 6B(e,h)). However, when cells were treated with the IC 50 and 2 × IC 50 of BCP-1, there was a reduction by 14% and 20% in the percentage of cells in G0/G1 phase compared to the NC. S phase showed no changes in the percentage of cells, but there was an increase of 28% and 35% of the percentage of cells in G2/M phase, in relation to the NC ( Figure 6B(f-h)).

Effect of the BCP-1 on DNA Fragmentation in Breast Cancer Cells
The integrity of the DNA in the breast cancer cells was also evaluated. MCF-7 cells, after the two BCP-1 treatments, did not show an increase in the fluorescence intensity of the Hoechst 33342 dye, whereas the PC (CPT) showed a 44% increase in relation to the NC ( Figure 7A,A1). To confirm this, MCF-7 cells were treated and submitted to electrophoresis in agarose gel, which showed that the PC had expressive DNA fragmentation, whereas cells treated with the two BCP-1 concentrations showed no DNA fragmentation ( Figure 7C).  In contrast, MDA-MB-231 cells showed an increase in Hoechst 33342 fluorescence intensity of 99%, 137%, and 86% after treatments with the IC 50 , 2 × IC 50 of BCP-1, and the PC, respectively, relative to the NC, suggesting chromatin condensation ( Figure 7B,B1). Results obtained by agarose gel electrophoresis also demonstrated intense fragmentation of the DNA in the treated cells when compared to the NC ( Figure 7D).

Phosphatidylserine Exposure Analysis in Breast Cancer Cells Treated with BCP-1
Treatment with the IC 50 and 2 × IC 50 of BCP-1 did not result in differences in the annexin V/PI staining of MCF-7 cells compared to the NC ( Figure 8A(a-c)), suggesting that the death of these cells was possibly not occurring by apoptotic and/or necrotic pathways ( Figure 8A(d)).
ecules 2023, 28, x FOR PEER REVIEW 10 o performed in triplicate. # p < 0.05, compared to the NC (one-way ANOVA followed by Tukey p test). (C,D) DNA fragmentation was evaluated by agarose gel electrophoresis.

Phosphatidylserine Exposure Analysis in Breast Cancer Cells Treated with BCP-1
Treatment with the IC50 and 2 × IC50 of BCP-1 did not result in differences in annexin V/PI staining of MCF-7 cells compared to the NC ( Figure 8A(a-c)), suggest that the death of these cells was possibly not occurring by apoptotic and/or necro pathways ( Figure 8A(d)).
In contrast, treatment of MDA-MB-231 cells resulted in increases in the percentage cells positive for annexin V alone and both annexin V and PI ( Figure 8B(f,g)), comparison to the NC ( Figure 8B(e)). Cells labeled only with annexin V increased approximately 17% and 12%, while cells with double labeling of annexin V and increased by 27% and 41% for the IC50 and 2 × IC50 treatments, respectively ( Figure

Effects of BCP-1 on Cell Death and Expression of Apoptosis-Related Proteins in MDA-MB-231 Breast Cancer Cells
As MDA-MB-231 cells exhibited characteristics of cell death via the apopto pathway, evaluation of apoptosis by AO and PI labeling and the expression of apopto related proteins was performed. The labeling with AO/PI demonstrated that percentage of viable cells after the two treatments with BCP-1 and the PC (CPT) decrea by approximately 90% in relation to the NC. Cells in early apoptosis increased In contrast, treatment of MDA-MB-231 cells resulted in increases in the percentage of cells positive for annexin V alone and both annexin V and PI ( Figure 8B(f,g)), in comparison to the NC ( Figure 8B(e)). Cells labeled only with annexin V increased by approximately 17% and 12%, while cells with double labeling of annexin V and PI increased by 27% and 41% for the IC 50 and 2 × IC 50 treatments, respectively ( Figure 8B(h)). Cells labeled with PI alone showed no significant increase in relation to the NC ( Figure 8B(h)).

Effects of BCP-1 on Cell Death and Expression of Apoptosis-Related Proteins in MDA-MB-231 Breast Cancer Cells
As MDA-MB-231 cells exhibited characteristics of cell death via the apoptotic pathway, evaluation of apoptosis by AO and PI labeling and the expression of apoptosis-related proteins was performed. The labeling with AO/PI demonstrated that the percentage of viable cells after the two treatments with BCP-1 and the PC (CPT) decreased by approximately 90% in relation to the NC. Cells in early apoptosis increased by approximately 1600%, 1380%, and 866% after treatment with the IC 50 , 2 × IC 50 of BCP-1, and the PC, respectively, in relation to the NC. Further, increases in cells in late apoptosis of 3700%, 3900%, and 4000% were also observed following treatment with the IC 50 , 2 × IC 50 of BCP-1, and the PC, respectively, in relation to the NC ( Figure 9A,A1).
Molecules 2023, 28, x FOR PEER REVIEW 11 of 27 of 3700%, 3900%, and 4000% were also observed following treatment with the IC50, 2 × IC50 of BCP-1, and the PC, respectively, in relation to the NC ( Figure 9A,A1). Additionally, Western blotting analysis revealed that expression levels of the Bax proapoptotic protein were up-regulated following BCP-1 treatment. The expression was increased by 308% and 393% after treatment with the IC50 and 2 × IC50, respectively, relative to the NC ( Figure 9B,B1). There was also a significant reduction in the expression of the anti-apoptotic protein Bcl-2 by 48% and 74% following treatment with the IC50 and 2 × IC50 of BCP-1, respectively ( Figure 9B,B1). It was also possible to observe that cytochrome C expression increased by 403% and 467% after treatment with the IC50 and 2 × IC50 of BCP-1, respectively ( Figure 9B,B1). Finally, caspase protein expression was investigated. After treatment with the IC50 and 2 × IC50 of BCP-1, increased expression of the initiator caspase-9 was observed by 226% and 446%, respectively, in relation to the NC ( Figure 9B,B1). Observations were also made with respect to caspase-3, an executor protein in the process of apoptosis, the expression of which was increased by 229% and 335%, respectively ( Figure 9B,B1).  Additionally, Western blotting analysis revealed that expression levels of the Bax pro-apoptotic protein were up-regulated following BCP-1 treatment. The expression was increased by 308% and 393% after treatment with the IC 50 and 2 × IC 50 , respectively, relative to the NC ( Figure 9B,B1). There was also a significant reduction in the expression of the anti-apoptotic protein Bcl-2 by 48% and 74% following treatment with the IC 50 and 2 × IC 50 of BCP-1, respectively ( Figure 9B,B1). It was also possible to observe that cytochrome C expression increased by 403% and 467% after treatment with the IC 50 and 2 × IC 50 of BCP-1, respectively ( Figure 9B,B1). Finally, caspase protein expression was investigated. After treatment with the IC 50 and 2 × IC 50 of BCP-1, increased expression of the initiator caspase-9 was observed by 226% and 446%, respectively, in relation to the NC (Figure 9B,B1). Observations were also made with respect to caspase-3, an executor protein in the process of apoptosis, the expression of which was increased by 229% and 335%, respectively ( Figure 9B,B1). As MCF-7 cells did not present features of cell death via the apoptotic pathway, and to determine the type of death triggered by BCP-1 in these cells, we evaluated the number of autophagic vacuoles and acidic organelles, as well as the expression of proteins related to autophagy. The presence of autophagic vacuoles was analyzed using the MDC marker and MCF-7 cells after treatment with the IC 50 and 2 × IC 50 of BCP-1 showed an increase in fluorescence intensity of 70% and 102%, respectively, in relation to the NC ( Figure 10A). The autophagy inhibitor wortmannin was able to prevent the formation of autophagic vacuoles after BCP-1 treatment, decreasing fluorescence intensity by 53% for the IC 50 and 55% for 2 × IC 50 compared to the respective treatments without wortmannin ( Figure 10A). Furthermore, the NC with wortmannin showed a decrease in fluorescence intensity of 28% compared to the NC without wortmannin ( Figure 10A).

Effects of BCP-1 on the Number of Autophagic Vacuoles and Acidic Organelles, and the Expression of Proteins Related to Autophagy in MCF-7 Breast Cancer Cells
The acidic organelles were evaluated by LysoTracker ® Red staining and the fluorescence intensity increased by 401% and 502% after treatment with the IC 50 and 2 × IC 50 of BCP-1, respectively, in relation to the NC ( Figure 10B). Moreover, the Western blotting assay showed that the protein expression levels of LC3I and LC3II significantly increased by 70% and 34% after treatment with the IC 50 , and by 178% and 100% after treatment with 2 × IC 50 , respectively, compared to the NC ( Figure 10C,C1). It was also verified that SQTM1/p62 protein expression levels were reduced by 24% and 43%, respectively, after treatment with the IC 50  System. # p < 0.05, compared to the NC; α p < 0.05, between the IC50 and 2 × IC50 (one ANOVA followed by Tukey post-test).

Effects of the Antimetastatic Potential of BCP-1 on Breast Cancer Cells
Using a cell migration assay, it was possible to observe that non-treated MCF-7 showed a migration into the scratched area of approximately 25% and 53% after 2 48 h, respectively, indicating closure of more than half of the total scratched area i longest time at 48 h ( Figure 11A(a-c)). After treatment with the IC50 of BCP-1 migration at 24 and 48 h decreased to approximately 20% and 14%, respectively, (F 11A(e) and Figure 11A(f)) in relation to the NC. Regarding the treatment with 2 × IC cell migration at 24 and 48 h was approximately 9% and 5% ( Figure 11A(h,i represented in the graph ( Figure 11A1). Further, non-treated MDA-MB-231 cells exhi a migration of approximately 47% and 95% after 24 and 48 h, respectively, indic almost complete closure of the total scratched area ( Figure 11B(j-l)). In treatments

Effects of the Antimetastatic Potential of BCP-1 on Breast Cancer Cells
Using a cell migration assay, it was possible to observe that non-treated MCF-7 cells showed a migration into the scratched area of approximately 25% and 53% after 24 and 48 h, respectively, indicating closure of more than half of the total scratched area in the longest time at 48 h ( Figure 11A(a-c)). After treatment with the IC 50 of BCP-1, cell migration at 24 and 48 h decreased to approximately 20% and 14%, respectively, ( Figure 11A(e,f) in relation to the NC. Regarding the treatment with 2 × IC 50 , the cell migration at 24 and 48 h was approximately 9% and 5% ( Figure 11A(h,i)), as represented in the graph (Figure 11A1). Further, non-treated MDA-MB-231 cells exhibited a migration of approximately 47% and 95% after 24 and 48 h, respectively, indicating almost complete closure of the total scratched area ( Figure 11B(j-l)). In treatments with the IC 50 , cell migration was reduced to approximately 22% and 8%, at 24 and 48 h, respectively, ( Figure 11B(n,o)) in relation to the NC, while the treatments with 2 × IC 50 led to approximately 14% and 5% of cell migration after 24 and 48 h, respectively ( Figure 11B(q,r),B1). As BCP-1 was effective in inhibiting migration in both cell lines, we also evaluated the expression of the matrix metallopeptidase (MMP)-9 protein. After treatment of MCF-7 cells with the IC 50 and 2 × IC 50 of BCP-1, MMP-9 expression levels significantly decreased by 26% and 60%, respectively, relative to the NC ( Figure 11C). MDA-MB-231 cells also exhibited a decrease in the expression of this protein by approximately 31% and 61%, respectively, after treatment with the IC 50 and 2 × IC 50 compared to the NC ( Figure 11D). Taken together, these results suggest that BCP-1 has inhibitory effects on the migration of these cells.

Effects of BCP-1 on Breast Cancer Cell Colony Formation
In the clonogenic assay, untreated MCF-7 cells (NC) showed approximately one hundred and forty-seven colonies of cells ( Figure 12A(a)), and after treatment with the IC 50 and 2 × IC 50 of BCP-1, a decrease in the number of colonies was observed, to only forty-one and eleven colonies, respectively, ( Figure 12A(b,c)), representing a reduction of 71% and 92%, in relation to the NC ( Figure 12A1). Meanwhile, there were one hundred and nine colonies in the NC of MDA-MB-231 cells ( Figure 12B(d)), and when treated with the IC 50 and 2 × IC 50 , a reduction to fifteen and six colonies was observed, respectively ( Figure 12B(e,f)), representing a decrease of approximately 86% and 94% compared to the NC ( Figure 12B1).
lecules 2023, 28, x FOR PEER REVIEW 15 71% and 92%, in relation to the NC ( Figure 12A1). Meanwhile, there were one hund and nine colonies in the NC of MDA-MB-231 cells ( Figure 12B(d)), and when treated w the IC50 and 2 × IC50, a reduction to fifteen and six colonies was observed, respecti ( Figure 12B(e,f)), representing a decrease of approximately 86% and 94% compared to NC ( Figure 12B1).

Discussion
Considering the limitations in the current treatments of breast cancer, there is a need for new actives and therapeutic approaches that act more specifically on tumor cells to eliminate and/or reduce the chances of recurrence and adverse effects [25]. In this context, considering the potent cytotoxic effects and the molecular mechanisms already reported for β-carboline and α-aminophosphonate derivatives against different types of cancer [12,26], the synthetic compound BCP-1, containing both the β-carboline and α-aminophosphonate moieties, was evaluated in MCF-7 and MDA-MB-231 breast cancer cells.
BCP-1 was able to reduce tumor cell viability in a time-and dose-dependent manner. In contrast, healthy breast epithelial cells were not significantly affected, resulting in a SI >3 after 48 h of treatment. SI values >2 are considered significantly selective towards one target, in this case, towards the cancer cells [22,23]. Yeh [27] treated MCF-7 and MDA-MB-231 cells with flavopereirine, a β-carboline alkaloid derivative, and found a reduction in cell viability, demonstrating the cytotoxic potential of this group of compounds. From SEM analysis, morphological changes were observed in MCF-7 and MDA-MB-231 cells, confirming the cytotoxic potential of BCP-1. Similarly, Razak [28] showed that MCF-7 and MDA-MB-231 cells treated with the flavonoid-derived compound eupatorin also exhibited similar changes in morphology and cell membrane destruction, evidencing the cytotoxic effect of the tested compound.
ROS are important signaling molecules in various cellular processes such as growth, differentiation, and death. They are normally produced during mitochondrial cellular respiration and energy generation, and then degraded by the antioxidant defense system [29]. Excess ROS can cause damage, and thus, for normal cell functioning there must be a compensation between ROS formation and levels of antioxidant defenses [30]. When there is an imbalance between levels of antioxidant defense and ROS production, oxidative stress occurs, which can mediate the induction of different cell death pathways [18]. In our study, it was verified that after BCP-1 treatment, both tumor cells exhibited excessive ROS production, in addition to a reduction in the levels of antioxidant defense, as demonstrated by the lower GSH levels, leading to redox imbalance in the cells. According to Zhang [21], a β-carboline derivative also promoted an increase in ROS production and a decrease in GSH levels in gastric carcinoma and colorectal cancer cells, leading to cell death.
Mitochondria are one target of ROS and can contribute to mitochondrial damage, such as the reduction of Ψm and consequent ATP production [18]. When these ROS levels are not kept stable, it causes changes in the functioning of cell physiological activities [31,32]. In the present study, it was observed that BCP-1-treated MCF-7 and MDA-MB-231 cells had reduced Ψm, which possibly led to a decrease in intracellular ATP levels.
The plasma membrane is formed mainly by lipids and proteins that guarantee the structure of the cell membrane [33]. Lipid peroxidation is one of the main causes of the impairment of cell membranes, being related to functional and structural integrity, and may induce changes in their permeability [34]. The occurrence of lipid peroxidation was verified in MDA-MB-231 cells treated with BCP-1, which possibly led to changes in their membrane structures. Moreover, an increase in PI fluorescence intensity was observed, confirming the loss of membrane integrity. In contrast, MCF-7 cells did not show cell membrane damage as they did not exhibit lipid peroxidation or increased PI fluorescence intensity.
The cell cycle comprises a set of phases that cells go through to duplicate themselves, giving rise to new cells. It is known that cycle arrest is one of the main mechanisms of cell growth inhibition, and this regulation is a key method to control tumor spread [35]. Our results showed that after treatment with BCP-1, the cell cycle of both MCF-7 and MDA-MB-231 cells was interrupted in the G2/M phase. The G2/M phase is responsible for the synthesis of RNA and proteins, and the checkpoint in this phase prevents the entry of the cell into mitosis, as it is the interval between DNA duplication and the beginning of cell division [36]. Recent studies have also shown that cancer cells treated with αaminophosphonate and β-carboline derivatives induced cycle arrest in the G2/M phase, relating this event to the control of tumor propagation [9,35].
Considering that cell DNA damage is an important indicator of apoptosis [37], chromatin condensation and DNA fragmentation were analyzed in the breast cancer cells by staining with Hoechst-33342 and assessment by agarose gel electrophoresis. MDA-MB-231 cells treated with BCP-1 exhibited chromatin condensation and apparent DNA fragmen-tation. Differently, MCF-7 cells had intact DNA and compact chromatin after treatment. Studies by Sarkar [38] and Ye [18] also demonstrated fragmented DNA and chromatin condensation of liver cancer (HepG2) and lung cancer (NCI-H460) cells after treatment with derivative β-carboline and α-aminophosphonate, respectively, and related this result to the induction of cell death.
To analyze the possible occurrence of apoptosis in cells, assays involving double staining with either annexin V/PI or AO/PI were performed. Most treated MDA-MB-231 cells were labeled with both annexin V and PI, in addition, to being double labeled with AO/PI, confirming that BCP-1 may induce apoptosis in this cell lineage, which is supported by the other results that demonstrated striking features of apoptosis. Interestingly, MCF-7 cells did not show annexin V/PI or AO/PI double labeling, indicating that the death pathway of this lineage is possibly not related to apoptosis. Supporting our data, Yeh [27] showed that flavopereirine also exhibited a remarkable effect in inducing apoptosis of MDA-MB-231 cells, determined by annexin V/PI double labeling.
According to Cao [20], mitochondria play an essential role in apoptosis by triggering mitochondrial membrane permeabilization. Mitochondria-mediated apoptosis is regulated by proteins of the Bcl-2 family, which are divided into two subfamilies: anti-apoptotic Bcl-2 and pro-apoptotic Bax. Therefore, the balance of these proteins is vital. Caspases belong to the protease family and are essential for carrying out apoptosis. Caspase-9 is one of the initiating caspases in the intrinsic apoptosis pathway and its activation requires the release of cytochrome C from mitochondria into the cytosol [31]. Caspase-3 activation correlates with caspase-9 activation, and during the process of apoptosis, caspase-3 plays a key role in executing this cellular death pathway [20]. In our study, it was verified whether the apoptotic pathway induced by BCP-1 in MDA-MB-231 cells was related to the mitochondria. There was a positive regulation in Bax expression and a negative regulation of Bcl-2 expression, and this imbalance possibly led to the release of cytochrome C and the consequent activation of caspases. This cascade of events was likely responsible for the execution of apoptosis in these cells.
According to a study by Gozuacik [39], the inhibition of apoptosis can lead to cell death by autophagy, and the inhibition of autophagy can trigger apoptosis. Although the role of autophagy in cancer is still controversial, as it can protect cancer cells from apoptosis and metastasis, but can also induce cell death, prevent metastasis, and even increase chemosensitivity [40]. Lou [41] reported that autophagy plays a critical role in controlling cell proliferation, differentiation, and death. Therefore, considering the previous data obtained for MCF-7 cells, which did not show a pattern of apoptotic cell death, the possible occurrence of autophagy was considered and the formation of autophagosomes was analyzed by MDC marker. This marker is specific for autophagic vacuoles and, in BCP-1-treated cells, a significant increase of autophagic vacuoles was observed. These data were further confirmed using wortmannin, an autophagy inhibitor, that was able to reduce autophagic vacuoles of treated cells. Zhang [14] also reported that the induction of autophagy was significantly reduced in MCF-7 cells by using the same inhibitor. Furthermore, our data are also supported by other studies on autophagic cell death induced β-carboline derivatives in A549 lung cancer cells [12].
To confirm that autophagy was induced by BCP-1 in MCF-7 cells, an assay was performed with the LysoTracker ® marker and the expression of some proteins related to autophagy were evaluated by Western blotting analysis. LysoTracker ® allows the identification of lysosomes, which play an important role in autophagy, since they help in the degradation mechanism of cytoplasmic components [42]. The LC3I protein, one of the key factors in the development of the autophagic membrane, is currently an autophagosome marker, and the LC3II protein reflects the structures related to autophagy [43]. Monitoring LC3 levels is a standard method to assess autophagic flux [44].
Furthermore, the expression of the p62/SQSTM1 protein was evaluated; this is an intracellular protein located in the cytoplasm, nucleus, autophagosomes, and lysosomes in tissues [45], and it is a ubiquitin-binding protein involved in cell signaling, oxidative stress, and autophagy. To induce autophagy, p62/SQSTM1 forms oligomers that interact with LC3tagged proteins leading to the initiation of autophagosome formation [46]. p62/SQSTM1 is not only an autophagy receptor, but also an autophagy substrate, as it is taken up by the autophagosome and degraded by the autophagolysosome [43]. p62/SQSTM1 and LC3 are used together as markers of autophagy in cancer research [13].
In our study, BCP-1 treated MCF-7 cells showed a significant increase in the presence of lysosomes, as identified by the increase in the fluorescence intensity of LysoTracker ® , in addition to increased expression of LC3I/LC3II proteins. In contrast, there was a significant reduction in p62/SQSTM1 expression. Thus, the data suggest that the mechanisms involved in cell death triggered by BCP-1 in MCF-7 cells may be related to autophagy. Supporting our findings, [31] demonstrated that after treatment of melanoma cells (B16) with a compound called harmine derivative β-carboline, there was a positive regulation of LC3II expression. Abe reported in his study that after treatment with harmol, a β-carboline derivative, human glioma cells (U251MG) were induced to autophagy and apoptotic cell death [47]. In addition, Tang [48] also reported that autophagosome formation was induced by curcumin with increased LC3 expression and p62/SQSTM1 degeneration in lung cancer cells (A549), and the authors correlated these data to the induction of autophagy in the cells.
Another important factor in cancer is the process of metastasis. Metastasis is the leading cause of death in cancer patients, and it is characterized by a multi-step process that promotes the migration of cancer cells to distant organs. Several proteins are involved in this process, such as MMP-9, which plays an important role in promoting tumor growth [49]. Concerning breast cancer, metastases are of great relevance, especially in patients with the triple negative breast cancer subtype (TNBC) who are at high risk of spreading [50]. Given that, the effect of BCP-1 on cell migration was evaluated in both MCF-7 and MDA-MB-231 cells and it was possible to observe that the migration rate was significantly reduced. Analysis of MMP-9 protein expression confirmed the possible antimetastatic potential of BCP-1, since a significant decrease in MMP-9 expression was observed for both strains. According to Zhu [51], harmine was able to inhibit cell migration by reducing MMP-2 and MMP-9 expression levels in glioblastoma, and Gao [49] reported that harmine inhibited MMP-9 expression in ovarian cancer cells. Likewise, nasopharyngeal carcinoma cells (NPC-039) also showed inhibition of cell migration when treated with an α-aminophosphonate derivative [52].
Finally, we evaluated the effect of BCP-1 on the ability to inhibit the survival of MCF-7 and MDA-MB-231 cells through the clonogenic assay. This test is based on the ability of cells to adhere and form colonies, since adhesion represents one of the first and main phases for the formation of colonies [53]. BCP-1 inhibited colony formation in both breast cancer cells, which may be correlated with the reduced viability. Zhang [21] showed that after treatment with β-carboline derivatives, hepatocellular carcinoma cells (HepG2) and HCT-116 had significantly decreased colony formation, relating this data to the cytotoxic effect of the compound.
In summary, BCP-1 induced several alterations in both breast cancer cell lines mediated by oxidative stress, depolarization of the mitochondrial membrane potential with consequent reduction in intracellular ATP levels, and all alterations possibly led to the triggering of cell death in both cell lines. BCP-1 activated the apoptotic death pathway in MDA-MB-231 cells demonstrated by annexin V/PI labeling, AO/PI labeling, chromatin condensation, and DNA fragmentation, and these data were confirmed by the regulation of proteins related to apoptosis. Differently, BCP-1 possibly induced the autophagic death pathway in MCF-7 cells, as evidenced by an increase in autophagic vacuoles and acidic organelles, in addition to the regulation of the expression of key proteins in the development of autophagy.
Considering all the changes observed in vitro in the breast cancer cells after treatment with BCP-1, the present study has demonstrated that this compound has promise as a chemotherapeutic candidate. Therefore, future studies on the in vivo efficacy, pharmacoki-netics, and toxicity of the compound are needed to better understand its antitumor effect and mechanism of action.

Evaluation of the Endogenous Antioxidant Defense System through GSH Levels
Based on the methodology adapted from Daré [57], MCF-7 and MDA-MB-231 cells plated in 6-well plates were treated with BCP-1. H 2 O 2 (200 µM) was used as a PC. Cell lysates were obtained by scraping the monolayers using ice-cold lysis buffer (10 mM Tris-HCl, pH 7.4, and 1% Triton X-100), followed by sonication for 60 s (30% amplitude, 5 s on and 5 s off) and centrifugation at 10,000× g for 10 min at 4 • C. The amount of protein was estimated with Bradford's reagent and cell lysates were stored at −80 • C until assayed. In 96-well black plates, 180 µL of sodium phosphate buffer (100 mM, 5 mM EDTA, pH 8.0), 10 µL of cell lysate, and 10 µL of OPA(1 mg/mL in methanol) were added and the fluorescence was determined after 15 min of incubation at room temperature in a microplate reader (VICTOR™ X3; PerkinElmer, MA, USA) at excitation/emission wavelengths of 350/420 nm, respectively. The results were expressed according to the calibration curve of the GSH standard (1953-1000 µg/mL).  Digitonin (50 µM), a reagent that solubilizes membrane proteins, was used as a PC. Cells were then trypsinized, resuspended in PBS, and labeled with PI (4 µg/mL) for 5 min at room temperature. The fluorescence intensity was quantified in a microplate reader (VICTOR™ X3; PerkinElmer, MA, USA) with excitation/emission wavelengths of 480/580 nm, respectively.

Cell cycle Analysis
Following the methodology of Lazarin-Bidóia [59], MCF-7 and MDA-MB-231 cells cultured in 6-well plates were treated with BCP-1. Cells were then washed with PBS, trypsinized, and fixed in 70% methanol at 4 • C for 1 h. Following this, cells were washed and incubated in PBS supplemented with PI (10 µg/mL) and RNAse A (20 µg/mL) at 37 • C for 45 min. Data acquisition and analysis were performed on a FACSCalibur flow cytometer (Becton-Dickinson, Rutherford, NJ, USA) equipped with CellQuest software (Joseph Trotter, Scripps Research Institute, La Jolla, CA, USA). A total of 10,000 events were acquired. The percentage of cells at each stage of the cell cycle was determined using the FlowJo_v10 software.

Cell Chromatin Analysis
MCF-7 and MDA-MB-231 cells were plated on round coverslips placed in 24-well plates and treated with BCP-1. CPT (10 µM) was used as a PC. Cells were washed in PBS, stained with the Hoechst 33342 marker (2 µg/mL) and incubated for 20 min at 37 • C in the dark. Following this, cells were washed twice with PBS and analyzed under a fluorescence microscope (BX51 with UC30 camera; Olympus Corporation, Tokyo, Japan). The identification criteria were as follows: cells that had homogeneously stained nuclei (light blue) were considered live, while cells with intense staining (bright blue) indicated apoptosis due to chromatin condensation. The fluorescence intensity was determined by the ImageJ software [56].

Detection of Phosphatidylserine Exposure
MCF-7 and MDA-MB-231 cells plated in 6-well plates were treated with BCP-1. Cells were then dissociated, washed with PBS, and resuspended in 100 µL of binding buffer (140 mM NaCl, 5 mM CaCl 2 , 10 mM HEPES-Na, pH 7.4), followed by the addition of 5 µL Annexin V-FITC for 15 min at room temperature. Afterwards, 400 µL of binding buffer and 50 µL of PI were added. Data acquisition and analysis were performed using a FACSCalibur flow cytometer (Becton-Dickinson, Rutherford, NJ, USA) equipped with CellQuest software (Joseph Trotter, Scripps Research Institute, La Jolla, CA, USA). A total of 10,000 events were acquired. The identification criteria were as follows: annexin V-positive cells were considered to be cells in early apoptosis, annexin V/PI-positive cells were considered to be in late apoptosis, PI-positive cells were considered to be necrotic cells, and cells that were not positive for any of the markers were considered viable cells [60].

Evaluation of the Type of Cell Death by Double Labeling with AO/PI
MDA-MB-231 cell monolayers plated on round coverslips in 24-well plates were treated with BCP-1. CPT (20 µM) was used as a PC. Cells were then labeled with AO (10 µg/mL) and PI (4 µg/mL) for 15 min in the dark. Fluorescence was analyzed on a fluorescence microscope (BX51 with UC30 camera; Olympus Corporation, Tokyo, Japan) within 30 min. The identification criteria were as follows: viable cells presented green nuclei with intact structures; cells in early apoptosis had a bright green nucleus indicating chromatin condensation; and cells in late apoptosis showed dense orange areas indicative of condensed chromatin and reddish-orange nuclei indicating necrosis. The number of viable, early apoptotic, late apoptotic, and necrotic cells were determined by counting 200 cells in triplicate [58].

Assessment of Autophagic Vacuoles
MCF-7 cells cultured in 24-well plates were treated with BCP-1. Subsequently, wortmannin (1 µM) was added, a potent and selective inhibitor of phosphatidylinositol 3-kinase (PI3K), a family of enzymes necessary for autophagy [20]. After the treatments, cells were washed with PBS and incubated with MDC marker (0.05 mM) in PBS for 10 min in the dark. Fluorescence intensity was measured at the excitation/emission wavelengths of 335/512 nm, respectively, in a microplate reader (VICTOR™ X3; PerkinElmer, MA, USA).

Evaluation of Acidic Organelles
Based on the methodology of Cui [11], MCF-7 cells were plated in 24-well plates and treated with BCP-1. Cells were washed with PBS and the LysoTracker ® red marker (50 nm) was added, followed by incubation for 30 min in the dark. Fluorescence was measured at excitation/emission wavelengths of 510/560 nm, respectively, in a microplate reader (VICTOR™ X3; PerkinElmer, MA, USA).

Cell Migration Assay
MCF-7 and MDA-MB-231 cell monolayers were cultured in 24-well plates for 24 h. Then, the contents of the wells were removed and replaced by DMEM supplemented with 0.5% FBS and incubated for 6 h at 37 • C and 5% CO 2 . Subsequently, a wound was made in the cell monolayer by scraping with a 200 µL tip. Following this, the cells were treated, or not, with BCP-1. At 0, 24, and 48 h, the scars were visualized under an inverted phase contrast microscope (4× g magnification; Olympus CKX41; Olympus Corporation, Tokyo, Japan) coupled with a US-30 camera. The percentage of cell growth in the scarred region was evaluated using ImageJ software to determine cell migration capacity [58].

Clonogenic Assay
MCF-7 and MDA-MB-231 cells cultivated in 6-well plates were treated with BCP-1. Subsequently, the treatment medium was removed, and cells were incubated with pure culture medium (DMEM) for ten days. The medium was renewed every 72 h. Following this, the colonies formed were washed with PBS, fixed in ice-cold methanol (100%) for 10 min, washed again with PBS, and stained with 5% Giemsa for 45 min. The number of cells was counted, and a colony was considered when there were more than 50 cells. Colonies were observed using an inverted microscope (4× g magnification; Olympus CKX41; Olympus Corporation, Tokyo, Japan) coupled with a US-30 camera [61].

Statistical Analysis
Statistical analyses were performed using GraphPad Prism software v. 8.00 (San Diego, CA, USA). The data shown in tables and graphs express the mean ± standard deviation (SD) of at least three independent experiments. Data were analyzed using ANOVA tests (oneway or two-way), followed by Tukey's post-test. Differences were statistically significant when p < 0.05.

Conclusions
This in vitro investigation of the effects of BCP-1 on breast cancer cell lines demonstrated that there is a selective action of this compound on the proliferation of MCF-7 and MDA-MB-231 tumor cells in relation to normal MCF-10A cells. BCP-1 induced oxidative stress and mitochondrial dysfunction, in addition to decreasing intracellular levels of ATP, consequently leading to cell death. MDA-MB-231 cells treated with BCP-1 showed induction of the apoptotic death pathway, as demonstrated by the annexin V/PI and AO/PI labeling, in addition to the regulation of proteins related to apoptosis. On the other hand, MCF-7 cells presented induction of the autophagic death pathway, owing to the accumulation of autophagic vacuoles and acidic organelles, and the regulation of the expression of specific autophagy proteins. These findings highlight BCP-1 as a promising candidate in the development of a therapeutic agent for breast cancer. Thus, our data support future studies aimed at analyzing other compounds derived from BCP-1 that possess β-carboline and α-aminophosphonate moieties, in addition to carrying out in vivo, preclinical, and clinical trials of BCP-1 to further validate the antitumor effects of this compound in breast cancer.